ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain in the neck with pain radiating to the LLE and RUE and weakness of the LLE.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the periatrial deep white matter and is probably ischemic in etiology (scans 105.4 & 105.5).
There is mild dilatation of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci.
The fourth ventricle is normal. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Both eyes are aphakik. Inflammatory changes are seen in the right mastoid air cells.
IMPRESSION :
1. Altered signal in the periatrial deep white matter is probably ischemic in etiology.
2. Mild cerebral atrophy.